Go Back   AAPC Forum > Medical Coding > General Surgery
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 04-26-2012, 06:40 PM
slc112071 slc112071 is offline
Join Date: Apr 2007
Posts: 35
slc112071 is on a distinguished road
Default Help!!!!!!

I need some help settling a disagreement in my office.

I have a surgeon that periodically forgets to dictate his assistants on his operative reports. I have had them added to the op-notes through transcription before. Now transcription will not add them. They are requiring the physicians to dictate an addendum to their operative reports. The facility always has their intra-operative report and the assistants are documented in that. I am being told to not have an addendum dictated and to go off the intra-operative report.

My question in this, is that this is the facilities medical record, not the physicians. Can I use that as the physicians documentation?
Reply With Quote
Old 05-02-2012, 02:52 PM
koatsj koatsj is offline
Join Date: Apr 2007
Posts: 141
koatsj is an unknown quantity at this point

When my surgeons forget to list our NPP as an assist in surgery, I ask them to dictate an addendum to the operative report. This way, if the insurance company asks for a copy of the op report, the assistant name is on it. I don't have access to the intra-operative notes from the hospital. I have to base my coding on the operative report and if the assistant name is not on it, I need my surgeons to add it if indeed an assist was needed so I can bill it out correctly.
Reply With Quote
Old 05-04-2012, 05:03 PM
FTessaBartels FTessaBartels is offline
True Blue
Join Date: Apr 2007
Location: Milwaukee WI
Posts: 4,453
FTessaBartels will become famous soon enough
Default Dictate addendum

Exactly what koatsj said ...

Hope that helps.

F Tessa Bartels, CPC, CEMC
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 03:26 AM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC